Individual provider Active NPI

Brad Sutherland, NP

  • Family Nurse Practitioner
  • Chesterfield, MI
National Provider Identifier
1093222044
Registry record updated Aug 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704264863 Issued in MI
Practice address
34301 23 Mile Rd Ste 100
Chesterfield, MI 48047-4432
Phone
(586) 725-1770
Fax
(586) 725-4080
NPI assigned
Dec 29, 2017
Last updated
Aug 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704264863 MI Primary

Addresses

Primary practice location

34301 23 Mile Rd Ste 100
Chesterfield, MI 48047-4432

Mailing address

34301 23 Mile Rd Ste 100
Chesterfield, MI 48047-4432
Phone (586) 725-1770

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address brad.sutherland.p1@direct.bayareafp.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180514001718 MI Practitioner - Nurse Practitioner 2264796515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Family Physicians, P.C.Group PAC ID 8628040193, 13 clinicians

Practice addresses (Care Compare)

34301 23 Mile Rd
Suite 100
Chesterfield, MI 48047-4432
Phone (586) 725-1770

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Family Physicians, P.C. Family CurrentSince Feb 24, 2018 Accepting new patients

Locations

34301 23 Mile Rd
Ste 100
Chesterfield, MI 48047
Phone (586) 725-1770

Interoperability endpoints

  • Direct secure messaging: brad.sutherland.1@24454.direct.athenahealth.com
  • Direct secure messaging: brad.sutherland.p1@direct.bayareafp.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/24454/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1093222044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34301 23 MILE RD STE 100",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480474432",
            "telephone_number": "586-725-1770",
            "fax_number": "586-725-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34301 23 MILE RD STE 100",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480474432",
            "telephone_number": "586-725-1770",
            "fax_number": "586-725-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "BRAD",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-29",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704264863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brad.sutherland.p1@direct.bayareafp.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Nextgenshare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "34301 23 Mile Rd Ste 100",
            "city": "Chesterfield",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480474432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.